Subcuticular Suture Technique: Alternative to Frost Suture to Prevent Ectropion After Transcutaneous Incision of Lower Eyelid

J Maxillofac Oral Surg. 2017 Dec;16(4):508-509. doi: 10.1007/s12663-017-1005-z. Epub 2017 Mar 16.

Abstract

Introduction: An ectropion is a complication that can arise from reconstruction in the infraorbital region. Often, this complication occurs despite proper positioning of the lower lid at the time of closure. Various transcutaneous approaches to orbit skeleton have investigated in view of complication arising from them. A subtarsal approach with a postoperative Frost suture gives an advantage to reduce the occurrence of ectropion especially after treatment of orbital floor fractures.

Material and methods: This case describes a method of subcuticular suturing technique for subtarsal incision of lower lid which can be used to support the lid during healing period, thus decreasing the rate of ectropion.

Conclusion: The technique described here is an alterative method for frost suturing with certain advantages.

Keywords: Ectropion; Frost suture; Subtarsal incision.